Mission

To advance the expertise of Physician Assistants and Nurse Practitioners through specialized training in hospital medicine, equipping them to deliver exceptional patient care, collaborate effectively within multidisciplinary teams, and lead innovation in acute care. To ensure a smooth transition from academic learning into clinical practice.

Vision

To advance the expertise of Physician Assistants and Nurse Practitioners through specialized training in hospital medicine, equipping them to deliver exceptional patient care, collaborate effectively within multidisciplinary teams, and lead innovation in acute care. To ensure a smooth transition from academic learning into clinical practice.

Values

Our fellowship program values excellence in clinical practice, interprofessional collaboration, and compassionate patient-centered care, cultivating professionalism and leadership in hospital medicine.

Current Fellow

Objectives
  1. By the end of the 12-month program, the fellows will be able to increase patient load from 4-6 patients to 8 patients and independently treat these patients with the attending physician’s collaboration.
  2. The fellows will be exposed to the most common and complex medical diagnoses through robust experiences in hospital medicine and off-service rotations under the general umbrella of medicine. The fellow will get monthly feedback through evaluations to ensure competency in such areas.
  3. The fellows will further their knowledge of literature review and evidence-based medicine by reviewing and presenting journal articles relevant to hospital medicine.
Schedule and Time Off Policies

The fellows will be scheduled on hospital medicine and off-service rotations for 12 months. The schedule will be 5 days per week, Monday-Friday. They will accrue vacation time, and as under the WashU Policy agreement will be able to use vacation time after 3 months. It is the preference that vacation time will be used while on hospital medicine rotations.

Regarding hospital medicine rotations, the fellows will start their day at 7 AM. They will review their list and perform notes on all their patients. The expectation will be to leave the hospital around 4 PM. Off service rotations will differ depending on each service. It is expected to coordinate with these services on hours and be prompt and professional.

Clinical Rotations

Hospital Medicine Service: 

  • Being on PA/NP hybrid team – Will be responsible for somewhere between 4-6 patients
  • Expect informal lectures / interactive educational sessions in the afternoons as much as time permits
  • Expect to chart review / preround on your patients, before rounding as a team on all patients with formal presentations to the attending

Subspecialty Rotations include:

  • Infectious Disease, Cardiology, Endocrinology – 4-week rotations 
  • Hepatology, Pulmonary Progressive Care Unit, Oncology, Palliative Care, 2-week rotations 

Didactics

Core topics

  • Acute Coronary Syndromes 
  • Heart Failure 
  • Atrial Fibrillation 
  • Pneumonia (HAP/CAP) 
  • COPD 
  • Sepsis/Shock 
  • Venous Thromboembolism 
  • Acute Pancreatitis 
  • IBD 
  • Cirrhosis and associated complications 
  • GI Bleed 
  • AKI 
  • Acid Base Disturbances 
  • Oncologic Emergencies 
  • UTI 
  • Skin and Soft Tissue Infections 
  • Bacteremia 
  • Syncope 
  • Delirium 
  • Hyponatremia 
  • Diabetes Mellitus/Insulin Management 
  • Clostridium difficile infection 
  • Alcohol Withdrawal 

Additional Didactics

  • Internal Medicine Grand Rounds
  • Monthly APC Educational Curriculum
  • Weekly Medicine Residency Noon Conference
  • Weekly Medicine Residency Intern Report
  • Journal Club Presentation